| NPI | 1275524589 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: HI MD-22163) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A61609) |
| Enumeration Date | 2005-11-04 |
| Last Update Date | 2022-07-22 |